Psychosomatics 42:404-410, October 2001
© 2001 The Academy of Psychosomatic Medicine
Implementation of a Psychiatric Consultation Service
A Single-Site Observational Study Over a 1-Year-Period
Albert Diefenbacher, M.D.
Received November 2, 2000; revised May 11, 2001; accepted May 16, 2001. From the Department of Psychiatry and Psychotherapy Ev. Krankenhaus Königin Elisabeth Herzberge, Herzbergstr. 79 D-10362 Berlin; Department of Psychiatry of the Free University of Berlin. Address correspondence and reprint requests to Dr. Diefenbacher. E-mail: a.diefenbacher{at}keh-Berlin.de
This study describes changes in consultation process variables and referral patterns after implementation of a psychiatric consultation service at a university hospital in Germany. Two hundred eighty consecutive medical-surgical inpatient referrals for psychiatric consultation during a 1-year period were documented prospectively with a structured database. Changes took place in referral patterns and in psychiatric interventions and recommendations but not in psychiatric diagnoses. In addition, information is given on psychiatric and psychosomatic consultation service delivery in Germany.
Key Words: Psychiatric Consultation Service • Generel Hospital • Consultation Process
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